PCR-DX of Colorado, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PCR-DX OF COLORADO, LLC

Practice address

2301 Research Blvd Ste 201-202
Fort Collins, CO 80526-1825

Phone

(205) 861-1951

Fax

(855) 871-0978

NPI assigned

Jul 9, 2021

Last updated

Apr 30, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rob Lilly

Title

Cfo

Phone

(205) 706-7727

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Tsela Scientific Laboratories LLC

  • Clinical Medical Laboratory
  • Birmingham, AL
  • NPI 1558060145

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1467023499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 11TH AVE S STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052843",
            "telephone_number": "205-882-5227",
            "fax_number": "205-588-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 RESEARCH BLVD STE 201-202",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261825",
            "telephone_number": "205-861-1951",
            "fax_number": "855-871-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCR-DX OF COLORADO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-09",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "LILLY",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-706-7727"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janay Payne, IOMT
• Kennedy Payne, RBT
• Robyn Payne, LAC, CRC, MA
• Shalese Dawn Payton, R.N.
• PCC LPC PLLC (Phaedra Charles, LPC)
• Peaceful Birth Company, LLC
• Peak & Bounds Incorporated
• Peak Clarity LLC
• Peak Community Services, Inc.
• Peak Family Dental Inc.

• Clinical Medical Laboratory in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Clinical Medical Laboratory in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.